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Little research has explored youth and parent resilience resources (ie, stable traits) and mechanisms (ie, dynamic processes) in this context, and studies have focused on their contributions independently rather than collectively. This study, informed by the Ecological Resilience\u2010Risk Model in Pediatric Chronic Pain, sought to (1) explore the relationships among youth and parent resilience resources and mechanisms and (2) identify the relative importance (RI; ie, independent contributions when entered simultaneously) of evidence\u2010based youth and parent resources and mechanisms in contributing to youth\u2010reported recovery, sustainability, and growth outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Youth (13\u201318 years) with JIA and their parents (156 dyads) completed a battery of online questionnaires assessing resilience resources (optimism, resilience), mechanisms (psychological flexibility, pain acceptance, self\u2010efficacy), recovery and sustainability (pain intensity, functional disability, health\u2010related quality of life), and growth (benefit finding) outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analyses demonstrated significant positive correlations across within\u2010person resources and mechanisms and weaker correlations across within\u2010dyad resources and mechanisms. Although the RI of predictors varied by outcome, youth pain acceptance was the most robust predictor across models (RI = 0.03\u20130.15). Some predictors (eg, parent psychological flexibility and pain acceptance) were generally categorized as \u201cNot Important,\u201d whereas others (eg, youth resilience) had \u201cInconclusive\u201d results, suggesting construct overlap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although additional research is needed to further understand resilience, results highlight the importance of fostering pain acceptance in youth and incorporating parents in psychosocial interventions to optimize living with JIA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.25439","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T01:05:22Z","timestamp":1727053522000},"page":"309-321","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring Pain Adaptation in Youth With Juvenile Idiopathic Arthritis: Identifying Youth and Parent Resilience Resources and 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